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Home My WebLink About23861-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25085 Date JUNE 13, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1450 LONGVIEW LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 4 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 1996 pursuant to which Building Permit No. 23861-Z dated DECEMBER 11, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is GARAGE ADDITION TO EXISTING GARAGE OF A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY ANN FARLEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-418219 - APRIL 28, 1997 PLUMBERS CERTIFICATION DATED N/A I tK- Building Inspec r Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23861 Z Date ........... ..... . ........................ I qk. . Permission is hereby gra a to: . ..... .. .. . . .. .......................... ......�.�..... . . .......�Y.�1��:•r. .�........ 1. .............. .... ..ram. ... ...` .. . ................. .... ........ �. ...... ............................... atpremises /ocated at ...............z.Y.....4....../f ? ................................................... ............................................................ ...................... ................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ....... .. ... ... Block .......�4......... Lot No. .. ..... ... ........... pursuant to application dated ........... ........`�J� ..:�................. 1926, and approved by the Building` Inspector. Fee $.../.. i��....�... ........... ....... ... .. . ............. .. . . ...... ... .. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 3 TTLW�!®F�0�90L'D_ APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cer-tificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted. site plan requirements.. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1.. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Bui.ldins - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of.Occupancy - Residential $15.00, Commercial $15.00 Date . . . .'S�/ ..��... . . . . . . . . . . . . . . . . . . . . . . New Construction. . . .?'. . . . Old Or Pre-existing Building.. . . . . . . . . . . . . . . . Location of Property. . .� Jq. . .. aa�� Y/. . .L,.� . . . . . . . Sort�h.r:0 . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . :: . .. .. .�?. � ��ti�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No IOOO, .Section. .. � 0 . . . . . .Block. . . . . . . . . . . .Lot. .7.& . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . .. . . . ... .. . . . . . .. . . . . . .. .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.��. . .�j. . . . .Date Of Permit. .��?��.�,. . . . .Applicant.V4_.Y1eC-/ ..-re . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. .. . .. . ..Underwriters Approval. . . ... . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . -L. . . �. . . . . . . . . . . . . .. . . . . . . . . . . . . .j .� . . . . ... . . . : . . . ;O f APPLICANT c6sQ-1 � 5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE- 1 1000121 BUREAU OF ELECTRICITY - 85 JOHN 'STREET, NEW YORK, NY 10038 28,1997 Application No.on file 13190397/97 N 418219 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named onthe above application number in the premises of MARYANNE FARLEY, 1450 LONGVIEW LANE, POLE # 11, PIETER # 75-056-781, SOUTHOLD, N.Y. in the following location; ® Basement ❑ Ist Fl. ❑ 2nd Ft. GAR/OUT• Section Block Lot was examined on APRIL 22,1997 and found to be in compliance with the National Electrical Code. KO FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OR OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 2 3 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL' UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C • E METER AMT. .AMP. I TYPE QUIP 1_,YW 1�3W 3 X 3W 3 0 IW NO.OF CC.COND. A.W.G. NO.OF,HI-LEG A.W G• NO.OF NEUTRALS A.W.G. EQUIP. PER.B' OF CC.COND. - OF HI•LEG OF NEUTRAL 1 100 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: G.F.C.1:-1 ..P An R. BURNS LIC:#3897 E PO BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. IN—......W W W W—W M COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 4• 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 6 � INSPECTOR 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �ILATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: I ee�,- DATE 0 � INSPECTO � �k� 23g� 1 � 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ��-e 0�G t DATE 3 // 9 INSPECTOR �� r6s-isox BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE / I�9� INSPECTOR . Imillit"I loll 1wrolt.l. I F(MilliAT I(')'tl 0 H 1)AT 10 1-1 IMIWIf FRAtIV ------------ ------ - ---------- ----- --------------- bl I IMIILATf ON Ilp-It tj y COM". ----------- T, ----------------- I IIAL zlk- ------------ --------------- nun I.TIMIAI. ----------------- lJF fyl;c:r6".": s;.• j �1 ! c i £�,�1 , t '�T • ' .. a 17 Y r i•j 4 C ,��` _. ( tV Sutherj?rO Pa""°9rM Wulff#p ;a this survey Is a violation of L t' _+ ?oction 7208 of the New YorkBtRM -- . r;ducation Law. �\� i t Ci. C�+ !�E....ft a:,:ra.� ��T "'✓• ��.Lei • � isop,!sof this survey map not bea&q ^c rand surveyor's inked seal or --;eossed seal shall not be eonsfd@!ed �\j N `• -t .� -w •v ca a valid true copy. '•� \ _ .1, i- �,;;,an:cas indicated hereon shae!•rt'a :y t.)tho person for whom the survey prod,and on his behalf to the - � '\�'��.tJ/ •.�''' �` t,rlc 'novernmental agorcyand \; �„!`�lVQ aya I !1 lone:. _...:. ...a.iicsd hereon and 't to LIZ,— •t the lending instf- ( - ( � �..ra notirans'.erabls to zc:J.n::nd i;�s.ualions or subs84uectl y= i � t i li • JI'•al t, t'�6.iy�0'''�t ;�itw i�T `i e'��'t�� e'� ��-� �_�.�'='�"� �`_.� -_..�`� '��.ra. 4i,2 i�;;1kw_t� j r t< f tt a P I IIQ .} 4:L.u-f'''��.'`�.c•��._...i.. J• :dV.t,�x. _f__ t I � — � i t j I i i i T:�;owl 1�v PROVibE .4 Hp. !,IRE _UN_ 0W I U E R Tl 'N-Tq -1 i F TFRSTERTI�l IR E fot el- ------- RE UIRED _7173JI) (1 RE p RT. IN -C DE-. A A 0-A __N OTED SKATE B1 IL ol, FIA I-E- Y_ UILANG EPAR 114 0,M OR THP 7 135- 802, 9 NM TO a VNI NSPE ED CONCR -Fdum AT N - EILNi -QU F R POW A N1 I tl G F !3 11��'11 So,Sir 16'dc .IN'UL 71cq TP 2 lu"`'T 4. FINAL CON'S -0E-CO E-TE.'FO T C. T IHIA L MEE 11C I -FNLL 9_CO- S REQ-6-1 _E_M_' ---w Cgr- ON T avT 4N & EN 01'9. .OD M�T RE ONSIS E ESIGN OR ON C10 ERROR X1 OA� 4q!if C4, Zlo AUJI i. tV hoo 'q- -- --- ----- _7- i I -- ---'-- ..-------- ---- • - — - - - --- — ----- --- -.�` siQw-�- -.rirT ems--G I ---- --I.- -- ----� --- --- _- - -------- - - --— -- - -- - -- � —- li � l i r H 1 f ty ----- - -- ---_ __----- ---- -,c,�o ref --- ------ ----- --- --- -- —-- - -- -- ---- -- - ------ --- - I9,e*J' alrer RUARII OF HEALTH . . . . . . . . . . . . . . . FORM NO. I ;ih'I'S OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVKY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEi'ARTMENT ICHKCK DEC TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1 197 1 - TEi.: 765- 1002 NOTIFY: 9 CAI..L 323 - 3 866 I�:xrrnined.. ..�'0�....., IY Apprwcd. .._.1�. IcJ✓ 1'ertui f No .. .... . Disapproveda/c ............................. ..... .......... ....... .. .... ... .. .... ?CA I(Iinl; in:ipeCt-0r) API0N FOR HUI1.DiNG PERMIT DaLe.�z'�'. . . . . . . . . . 19% . INSTRUCTIONS a. This appliMt.ical nrisL be cuopletely filled in by typewriter or in inlc and mihinitted to lie Building Insixctor I mein of plans, accurate plot plan to scale. Fee according to schedule. h. Plot: plan sh(xaint; lOCaLi(X1 of lot and oP buildings On pranices, relationship to adjoining prc,ni se:; or 1XIbl is s! reers or areas, and giving a detailed description of laycxrt of In-operty mist be drn%ai on the diagratn w1iich is iart of (his application. c. 'the xx)rlc covered by this application rviy lot In colmnx:ecl before issuance of Building Permit. d. Upon approval of this application; the Building Inspector will issue a Bui(dint; Permit. to 1.11e appl icarrr. Such Ix:rwit: shall be kept: on the pronises available for inslxec:Lion lhrouo) ixrt the work. v. Ncr building shall be occupied or used in whole or in part for any purpose whatever until a CertificnVe of W-cupancy steal 1. have been !;ranted Icy the lkri(ding Inspector. APVLICNI*ION IS IlI-,-R1iBY MADli to the Building DeparUnenc for Lie issuance of a Building, Pennit Ixirsuanl: In the IAri(ding Zdnre OrdinaliCe of die 'liicxr of Scxithold, Suffolk Ccxulty, 1Jew York, and other applicable- Laws, Ordinances or 14gulaticnrs, for the ccnrstrucLior of buildings, axiditioun or alterations, or for rollOVal or drunlition, as herein described. 'lire applicant agrees to cocrgrly with all. applicable laws, ordinances, building code, housing code, and regulal:icnrs, and to adnit authorized inspectors oil premises and in tinkling for necessar insirections. II.a h. .. ... .. ..... (Signature of applicant , or nacre, if a cor►ot ation) O A 5 CL 1 n- CSQc� �/1-t e.ht.N Y_11.95.7 (M;niIing address of applicant) Stale whether applicant is ocmier, lessee, agent, architect, engineer, general. contractor, electrician, pludxtr or buiK, . .. ......... CD:i� Y�Ctv✓ ...... ............................................. ............. . ............. Nana of cx4ner of premises -. c . .... Lr !,,Qhnar .. .............................. ....... .... .... ...... .. . .. . . (as on the Lax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .. . .---.. ...•....................•••...... ......._._.. ... (Nrrry and tAlle of corporate officer) Builder:, license No. _.13-99 3.. 1-4 T I'Icrd)ers License No. ......................... Electricians license License No. ..................... Other Trade's license No. .................... I. IA-) aticxi of land Oil wl►iclr proposed work will be done........................ ................ ........ ....... ........ ...... ..... ......: ................ ............ . ... . . . . .... Hound lJ nlx r SrreeC HaliReL t'cxnil.y Tax IQ No. i0O0 Secticnr . ....... .... Block ........... '..A.. .. inn � ........... :;,rlxlivi:;icaiek'5............ Filed Plop to). V4.1.0....... 11L .�2-......... (tJan�c) 2. Slate existing use and octliiaiK:y of prmnises and intended use alKI Occupant' of proposed cons!rustion: a. 1"Kistiot; use and (x.:cupanK:y ...5Jn5OC— .r,ILrr►,.l�--.j-CSJ.de.yr� . 1u.1 � !�� QGh -A,!�R. b. I nl eixk d use an(l ocxupkjli y ...._s.Gt ►'Y1 e'...W ro.... 2k... h S gar, -`.. ............. .. . 4 Rilnre of (,%)rk (check ►1ii(Jt applicable): Tkw Iklildhig; Acklition Xl�.... .. Alteration .. ...... .. IL!l)l i r .. .. ........ Itt3ticrval .......... ... lTtnit)I i L i olt ............ UI her Un k .. ......... ......... . . . ............ (I)escr i pt ion) Est.In)alc<I (o;;f .. . ✓... .............. . fee ..... ._............ ....... .. .............. .... (to be paid on HIinly Lhis application) 1 f Ihx!I 1 ill;, rxnlx!r of chael l L)I3 units .N: Radler of (hurl I iog; unil-,s ()it each fIoor .. . .... I f gural;e, Itlrlber of Carr) ...�.... .. ..... .... ... ... . .. ..... . . .. . If bo"doess, coilln:rcial or )nixed (x:rolxux.y, slx!cify nature atxl exC(!ot of each I.ype of live.!'. A Dinxautitxl;; of: exinling; ;)I•rocluren, lI' ally: Irl'(x)(:., .Y. .... .. .... Rear . ...... DeI)111 Yy . .. ... .... Ik!i1,111: . ..1! . . . ......... ....... T• 11ber of Slorien .. ......... Ilinlenniols of s(nlc! stnuaore will) alleral'i(xls or ;uldiHol1 FVOIII: hear Sa Yl2 Iky)Ih . .. ..... ..... Ik!il;ltl: ._ .S .m.1�:!.. . ... .. 411ber of Stories) .�`a!Yd-?..... . / t9.Ilintclnslcxls of ell ire rx!ea ccxlstnua'i(xl; Front: _._��..r.. ...._ hear .... ... ........ Ik!pllt 1 Ik!ig;Ill. .J.4:... ........ ....... Rxiber of litorlen ..'.. .... . . . Size of lot:: Plcalt ........ .. .... T42ar ...I.��... ... . .._ .. Depth p�JCC�........... . IL,I a o 17 tlrrcllnse ..+Q_3?. ...._.. .... M-1111c! of Fonlr!r (a.nx!r ..W. ce ,I-}C'►^ Jvr+ 1 4A............. .... . I. 7exx! or ut;e disl:ricC in rAliclt premises are situated .... ..... .... .... ... . ... ... ... .... .. .................. . .... . .. 1. Ikx!;; prolx)r;e<I ccx)slr►x:Licit violate lily uxting; law, Ordilkllx.e or regolalion: . ,Y� 7. lJi l l lot. lx� i egrtuled .,u 0... ........... t•li I I excess f i 11. Im rc-ylrwed from prcon i e;es: YIiS IJO I4.•1111en of ()<)tu!r of preiniseel ... ... /uklrerts �-°vt_ V�,,,q,Yt IJ:rtr! of Ar(Jdl:ecC ........... ... .......... ... ..... Arklress .... . ... ... ........ I'ltorx! Nr). Millie of C:caltractor !•!.a n�t� .L �CS G��. ...... ..... fvhlress 3�'��j S !•�lec.iYl. .Qre�.r i'._,,,,,l1uxx! tl(t. 3 Z3--3 965' ... ... 'Is this prt)Ix!rLy within 3(X) feel of it tidt)1 ►aetlarxl? * YLS M) V, ,,,,,, *11 Y1S:i, fi(lllI1XA1) 'IC)IJN '1111)SIETL'S 1771A•II'1' HAY 11T's RI?d�I111U?I). PLOT DIAGRAM I'mM eclenrly atxl (lisl:irx:tly nil Ixlilding.9, t.A)ell)er exisOng or progx)sed, aril )lxlirate nil. set-teach diuronionn ')1n1 propelly lioca. Give street alit block oxnher or dencriptioxl according; I•o deed,,arxl Mint; street Throes a1xl irxlicate : !lher interior or corder lot. ;•n•n�. (Ir I•e� )tilt, ... ...Do , !. . . .. . . .. . ... !.Ix!it), (lug cwc)rn ( I, y eltosen alit says that: lie is lh(! apl)I ic:anl of ilxlividual sil;niol; cool race) ((knU.rnclor, n.(!I. rorlx)r.tl(! officer, elf:.) 1` said owlx!r of owtx!rn, atxl is duly lol110ri7ed to llerfonn or hnve lx!rfortrx!d file said work. mil to lr(ke alxl file Illin ;)plical.ion; Oull: nl1 sl.alelneots col)tailxld in Min application are Lme Lo the Ixa1;1: of his koowle(Il,,e atxl Ixillets alit ont. the work will Ile per.l'otnx!cl lit (.Ile uatrn(!r net forth in the nppl.ical:ion filed lllerewilll. ,A)rll to I !I ) e nt! thin cln )f .. .. . . .. .. . 19.... . T•k)1;try 111)1 i s ( . . . ... ...._.. CLAIRE L. GLEW 03 i 1,natove of Appl i cant.) !-V� Notary Public,Mats of New York Ala.487950s Qualified in Suffolk County Commission Expires Decetrber S, 79 /CO